Please take our survey.

Name
Age
Gender
Branch of Military
Last Rank Achieved
Level of Injury (if injured)
Peacetime or Wartime?
State of Residency
Treatment Facility (one survey per facility)
Location of Treatment Facility


Rate from 1 (totally disagree) to 10 (totally agree):



The nursing staff per shift:
The staff meet your needs?
Staff conveyed your needs to each shift coming on duty?
Response was timely when the call button was pushed?
Staff member issues were resolved in a timely manner to your satisfaction?


Length of time to resolve the issue:
Medications given properly and on time?
Changes in your medications communicated promptly between the doctor and floor nurses?


Knowledge of attending nurses to your particular situation & needs:
Staff made you feel important?
You treated with respect?
You were not bullied or abused by the attending nurses?
Family or spouse treated with respect?


Doctors:
Doctors and their team communicated well with you?
Doctors followed up on your requests?
Medical teams communicated well with each other and the floor nurses?
Reponse time of doctor was timely?
Doctor treated you with respect?
You understood the doctor?
You were not bullied or abused by the doctor?


Food:
The food was nutritional.
I liked the taste of the food.
The food was presented well.
The hot food was hot and the cold food was cold.
There was variety in the food.


Cleanliness:
The room was clean.
There was quality TV programming.
The room was cleaned often.
The temperature of the room was fine for me.


Hygiene:
My hygiene needs were met.
My privacy was respected.


Occupational Therapy:
Do you participate in the National Veterans Wheelchair Games?
What do you like most about the games?
What would you like to see added to this site that would benefit you?

Please tell us overall how would you rate your stay? Please add any additional comments you wish: